| New Gen Medical, P.c. | |
|
860 58th St Brooklyn NY 11220-3610 | |
| (718) 435-8181 | |
| (718) 438-5000 |
| Full Name | New Gen Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 860 58th St, Brooklyn, New York |
| Authorized Official Name and Position | Xin Pang (OWNER) |
| Authorized Official Contact | 7184358181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Gen Medical, P.c. 143 Avenue O Apt 3a Brooklyn NY 11204-4972 Ph: (718) 435-8181 | New Gen Medical, P.c. 860 58th St Brooklyn NY 11220-3610 Ph: (718) 435-8181 |
| NPI Number | 1730596651 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 4880813906 |
|---|---|
| Medicare Enrollment ID | O20140922001804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730596651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Xin Pang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992933998 PECOS PAC ID: 4385797885 Enrollment ID: I20090731000055 |
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